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DR. JENNIFER SUPOL DO NPI 1003826900


NPI Information

NPI: 1003826900
Provider Name: DR. JENNIFER SUPOL, DO
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
31500 TELEGRAPH RD
105
BINGHAM FARMS, MI
ZIP 48025
Phone: (248) 540-8700
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DR. Jennifer Supol, DO is a specialist in Bingham Farms, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jennifer Supol, DO NPI is 1003826900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

31500 TELEGRAPH RD
105
BINGHAM FARMS, MI
ZIP 48025-367
Phone: (248) 540-8700
Fax: (248) 540-8701

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist5101014945MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.